Effects of Two In-hospital Antepartum Interventions on Functional Ability and Quality of Life in Early Postpartum Women.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- High-Risk Pregnancy
- Sponsor
- Western University, Canada
- Enrollment
- 9
- Locations
- 1
- Primary Endpoint
- Score on the Functional Mobility Assessment Tool
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The current standard of care for pregnant women deemed to be high-risk often involves recommending varying levels of activity-restriction, up to and including hospitalization. High levels of activity-restriction can lead to physical deconditioning of the mother, which can be difficult to recover from after birth. The proposed study will investigate whether a mild muscular conditioning program conducted in bed and given to hospitalized activity-restricted high-risk pregnant women will improve functional ability, cardiovascular deconditioning and overall quality of life in the postpartum period compared to a control group with no in hospital bed-rest exercise program. We hypothesize that women with a in-hospital muscle conditioning program will be better able to perform functional ability tasks and activities of daily living than a control group with no exercise program.
Investigators
Michelle Mottola
Dr.
University of Western Ontario, Canada
Eligibility Criteria
Inclusion Criteria
- •Hospitalized high-risk pregnant women in hospital for at least 7 days
- •Diagnosed with gestational hypertension
- •Diagnosed with preeclampsia (mild to moderate)
- •Diagnosed with intrauterine growth restriction
- •Single baby
- •Expecting twins
- •Expecting triplets
- •Diagnosed with shortened cervix
- •Diagnosed with threatened pre-term labour (not actively contracting)
Exclusion Criteria
- •Diagnosed with symptomatic placenta previa (bleeding)
- •Diagnosed with severe pre-eclampsia (immediate delivery)
- •Diagnosed with conditions indicating a short term hospital stays of less than 7 days
- •Diagnosed with infections
- •Diagnosed with heart and renal disease
- •Diagnosed with diabetes
- •Diagnosed with metabolic bone disease
- •Diagnosed with hyper-or-hypo-thyroidism
- •Diagnosed with Cushing disease and anemia
- •Women carrying more than 3 babies
Outcomes
Primary Outcomes
Score on the Functional Mobility Assessment Tool
Time Frame: 2 weeks post delivery
The Functional Mobility Assessment Tool was adapted from a senior fitness test, which uses 7 tests to assess muscular strength, aerobic endurance, flexibility and agility (Chair Stand Test, Arm Curl Test, 6-Minute Walk Test, 2-Minute Step Test, Chair Sit-And-Reach Test, Back Scratch Test, and 8-Foot-Up-And-Go Test).
Secondary Outcomes
- Follow up to Primary outcome Score for Functional Mobility Assessment Tool(2, 6 and 12 months)
- Quality of life(Baseline (> 28 weeks gestation); 2 weeks post delivery; 2, 6 and 12 months post delivery)